NPIMap

Individual provider Active NPI

Elizabeth Ellen Kleppen, RN, PA-C

  • Physician Assistant
  • Culbertson, MT
National Provider Identifier
1174618755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
120 Issued in MT
Practice address
818 2ND Avenue East
Culbertson, MT 59218-0110
Phone
(406) 787-6400
Fax
(406) 787-6473
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 120 MT Primary

Addresses

Primary practice location

818 2ND Avenue East
Culbertson, MT 59218-0110

Mailing address

PO Box 266
Outlook, MT 59252-0266
Phone (406) 895-2520

Other identifiers 2

IdentifierTypeStateIssuer
95551004OtherMTRAILROAD MEDICARE
0438555MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040330001218 MT Practitioner - Physician Assistant 6608868898 Reassigns benefits to 3 organizations
I20201111001515 ND Practitioner - Physician Assistant 6608868898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Memorial Hospital AssociationGroup PAC ID 9133038706, shared by 7 NPIs, 31 clinicians

Practice addresses (Care Compare)

440 W Laurel Ave
Plentywood, MT 59254-1526
Phone (406) 765-3700

818 2ND Ave E
Culbertson, MT 59218-9346
Phone (406) 787-6401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Registered Nurse

State licenses

LicenseStateTypeSpecialty
120MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Memorial Hospital Association CurrentSince Oct 9, 2025 Accepting new patients
Culbertson Froid Bainville Health Care Corporation CurrentSince Sep 13, 2001 Accepting new patients
Fairlight Medical Center CurrentSince Jul 27, 2020 Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Jan 1, 2021 Accepting new patients
Culbertson Froid Bainville Healthcare Corporation Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

818 2nd Ave E
Culbertson, MT 59218
Phone (406) 787-6400

440 W Laurel Ave
Plentywood, MT 59254
Phone (406) 765-1420

3 4th St E
Apt 204
Williston, ND 58801
Phone (701) 572-6337

Interoperability endpoints

  • Direct secure messaging: ekleppen@sheridanmemorial.cernerdirect.com
  • Direct secure messaging: elizabeth.kleppen.1@18760.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18760/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174618755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "OUTLOOK",
            "state": "MT",
            "postal_code": "592520266",
            "telephone_number": "406-895-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 2ND AVENUE EAST",
            "city": "CULBERTSON",
            "state": "MT",
            "postal_code": "592180110",
            "telephone_number": "406-787-6400",
            "fax_number": "406-787-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPEN",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "credential": "RN, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "95551004",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438555",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culbertson, MT

Sources for this page

Verify at the official NPI Registry.